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DEBBY CARSCALLEN ATC

Athletic Trainer >> Specialist/Technologist >> Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Registrant NPI Number: 1245332790

Individual Registrant:
 DEBBY  CARSCALLEN ATC
Gender: F
Sole Proprietor

Location and contact information for practice:
1410 E D ST  MOSCOW, ID 83843-3642 US
Tel: 208-892-1180  Fax: 208-892-1182

Contact information for business:
318 S CLEVELAND ST  MOSCOW, ID 83843-3768 US
Tel: --  Fax: --

Registration Information:
NPI: 1245332790
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Specialist/Technologist
Athletic Trainer
IDAT-089

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




HEALTH CARE JOBS ID - Page 1

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